I really want to remove the excess fat @ the base of my neck but I’m terrified of getting paralyzed or sustaining any other spinal injury
Although I can understand your concern in that the spinal cord is located in the same general area as the lipoma, it would be exceedingly unlikely that this would occur. The spinal cord and its associated nerves are much deeper than the lipoma and are very well protected at this location. See a reputable and experienced surgeon and I think you will be fine.